Bailey, Brian Keith

Bailey, Brian Keith is an sole proprietor health care provider with primary practice located at 500 14Th St , Ashland KY 41101-2622. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Bailey, Brian Keith can be contacted via phone (606) 324-3668.

Contact Information

Primary practice address
500 14Th St Ashland KY 41101-2622
Fax: (606) 324-0668
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 00305 Kentucky

Profile Details

NPI number 1265436141
LBN Legal business name Bailey, Brian Keith
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 9th, 2005
Last updated Mar 6th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265436141 NPPES
Ohio MEDICAID 2549086
Ohio MEDICAID 80000540
Ohio MEDICAID 3810002375
Ohio MEDICAID 90010612

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